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Unusual association of transposition of great arteries with infradiaphragmatic pulmonary venous return
A 21-day-old baby with transposition of the great arteries with intact ventricular septum, infradiaphragmatic totally anomalous pulmonary venous connection, and atrial septum defect underwent combined arterial switch operation, totally anomalous venous connection repair, and atrial septum defect clo...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979011/ https://www.ncbi.nlm.nih.gov/pubmed/32030039 http://dx.doi.org/10.4103/apc.APC_54_19 |
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author | Scrascia, Giuseppe Grimaldi, Anna Maria Pia Troise, Dario Scalzo, Gabriele |
author_facet | Scrascia, Giuseppe Grimaldi, Anna Maria Pia Troise, Dario Scalzo, Gabriele |
author_sort | Scrascia, Giuseppe |
collection | PubMed |
description | A 21-day-old baby with transposition of the great arteries with intact ventricular septum, infradiaphragmatic totally anomalous pulmonary venous connection, and atrial septum defect underwent combined arterial switch operation, totally anomalous venous connection repair, and atrial septum defect closure, using a right-sided approach and temporary pulmonary veins occlusion, with no postoperative and 6-months follow-up complications. Complete anatomical correction is the most conceivable treatment for this unusual pathology; right-sided approach instead lifting the heart toward the right pleural cavity to perform left atrium-to-pulmonary veins anastomosis limits heart displacement and avoids nonphysiological three-dimensional alterations; moreover, ligation and division of vertical vein allow to obtain more tissue for anastomosis; temporary occlusion of pulmonary veins while performing anastomosis is a simple procedure that allows to avoid deep hypothermic circulatory arrest or low flow systemic perfusion. Combination of these details facilitates intra- and postoperative management, especially in combined demanding cases. |
format | Online Article Text |
id | pubmed-6979011 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-69790112020-02-06 Unusual association of transposition of great arteries with infradiaphragmatic pulmonary venous return Scrascia, Giuseppe Grimaldi, Anna Maria Pia Troise, Dario Scalzo, Gabriele Ann Pediatr Cardiol Case Report A 21-day-old baby with transposition of the great arteries with intact ventricular septum, infradiaphragmatic totally anomalous pulmonary venous connection, and atrial septum defect underwent combined arterial switch operation, totally anomalous venous connection repair, and atrial septum defect closure, using a right-sided approach and temporary pulmonary veins occlusion, with no postoperative and 6-months follow-up complications. Complete anatomical correction is the most conceivable treatment for this unusual pathology; right-sided approach instead lifting the heart toward the right pleural cavity to perform left atrium-to-pulmonary veins anastomosis limits heart displacement and avoids nonphysiological three-dimensional alterations; moreover, ligation and division of vertical vein allow to obtain more tissue for anastomosis; temporary occlusion of pulmonary veins while performing anastomosis is a simple procedure that allows to avoid deep hypothermic circulatory arrest or low flow systemic perfusion. Combination of these details facilitates intra- and postoperative management, especially in combined demanding cases. Wolters Kluwer - Medknow 2020 2019-12-04 /pmc/articles/PMC6979011/ /pubmed/32030039 http://dx.doi.org/10.4103/apc.APC_54_19 Text en Copyright: © 2019 Annals of Pediatric Cardiology http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Scrascia, Giuseppe Grimaldi, Anna Maria Pia Troise, Dario Scalzo, Gabriele Unusual association of transposition of great arteries with infradiaphragmatic pulmonary venous return |
title | Unusual association of transposition of great arteries with infradiaphragmatic pulmonary venous return |
title_full | Unusual association of transposition of great arteries with infradiaphragmatic pulmonary venous return |
title_fullStr | Unusual association of transposition of great arteries with infradiaphragmatic pulmonary venous return |
title_full_unstemmed | Unusual association of transposition of great arteries with infradiaphragmatic pulmonary venous return |
title_short | Unusual association of transposition of great arteries with infradiaphragmatic pulmonary venous return |
title_sort | unusual association of transposition of great arteries with infradiaphragmatic pulmonary venous return |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979011/ https://www.ncbi.nlm.nih.gov/pubmed/32030039 http://dx.doi.org/10.4103/apc.APC_54_19 |
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